ECEESPE2025 ePoster Presentations Diabetes and Insulin (245 abstracts)
Peri-esophageal infections due to foreign body in the esophagus: a serious complication in diabetic patients
Malika Omri 1 , Nawress Thabet 2 , Mouna Belakhdher 1 , Jihene Houas 1 , Abir Meherzi 1 , Monia Ghammam 1 , Hamza Elfekih 3 , Wassim Kermani 1 & Mohamed Abdelkafi 1
1Farhat Hached Hospital, Department of ENT and Head and Neck Surgery, Sousse, Tunisia; 2Farhat Hached University Hospital, ENT Department, Sousse, Tunisia; 3Farhat Hached Hospital, Department of Endocrinology, Sousse, Tunisia
JOINT659
Introduction: Peri-esophageal infection is the most concerning complication of traumatic esophageal perforations. These perforations occur in 1-4% of cases involving esophageal foreign bodies, either spontaneously or during rigid endoscopic extraction. They can lead to severe infections such as cervical cellulitis and mediastinitis, posing life-threatening risks.
Objective: This study aims to analyze the specifity of peri-esophageal Infections clinical, paraclinical characteristics and their therapeutic management in diabetic patients.
Methods and Observations: A retrospective analysis of four cases with an age varying between 4 and 60 years, all 4 patients were diabetics and admitted for accidental ingestion of sharp foreign bodies. Patients presented with persistent solid dysphagia and subfebrile states. Thoracic xray confirmed foreign bodies in three cases and suspected complications in one case. Endoscopic extraction identified esophageal perforations, while CT scans revealed cervical cellulitis (2 cases), prevertebral abscess (1 case), peri-esophageal abscess (1 case), and mediastinitis (1 case). Management included broad-spectrum antibiotics, absolute diet, surgical repair, drainage, or tracheotomy, depending on the case. All patients recovered fully over a three-year follow-up.
Conclusion: Clinicians must always consider esophageal perforation in cases of foreign body ingestion. Early imaging and appropriate therapeutic strategies are essential to prevent severe outcomes
Volume 110
Article tools
My recent searches
My recently viewed abstracts
Authors
Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
© Bioscientifica 2025 |
Privacy policy |
Cookie settings
BiosciAbstracts
Bioscientifica Abstracts is the gateway to a series of products that provide a permanent, citable record of abstracts for biomedical and life science conferences.
Find out more